telemonitoring
Stone RA et al, J Am Med Inform Assoc, 2012
Background
Telemonitoring interventions featuring transmission of home glucose records to healthcare providers have resulted in improved glycemic control in patients with diabetes. No research has addressed the intensity or duration of telemonitoring required to sustain such improvements.
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Published:
19 May 2012 |
Keyword(s): Diabetes Mellitus, Telemedicine, Telemonitoring, United States
Wilson SR, Cram P. Archives of Internal Medicine, 2012
Rapid advances in technology combined with increasing demand for interventions that can “bend the cost curve” have stoked widespread interest in telehealth technologies. Telehealth has been broadly defined as “the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health, and health administration.”
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Published:
16 April 2012 |
Keyword(s): Digital Homecare, Telemedicine, Telemonitoring, United States
Takahashi PY et al, Archives of Internal Medicine, 2012
Background
Efficiently caring for frail older adults will become an increasingly important part of health care reform; telemonitoring within homes may be an answer to improve outcomes. This study sought to assess differences in hospitalizations and emergency department (ED) visits among older adults using telemonitoring vs usual care.
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Published:
16 April 2012 |
Keyword(s): Elderly, Emergency Department, Randomized Controlled Trials, Telemedicine, Telemonitoring, United States
Terschuren C et al, BMC Health Services Research, 12(1)
BACKGROUND:
General practitioners (GP) in rural areas of Germany are struggling to find successors for their private practices. Telemonitoring at home offers an option to support remaining GPs and specialists in ambulatory care.
METHODS:
We assessed the knowledge and attitude towards telemedicine in the population of North Rhine-Westphalia (NRW), Germany, in a population-based telephone survey.
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Published:
16 April 2012 |
Keyword(s): Awareness, Germany, Telemedicine, Telemonitoring
BACKGROUND
Previous trials of telemonitoring for heart failure management have reported inconsistent results, largely due to diverse intervention and study designs. Mobile phones are becoming ubiquitous and economical, but the feasibility and efficacy of a mobile phone-based telemonitoring system have not been determined.
OBJECTIVE
The objective of this trial was to investigate the effects of a mobile phone-based telemonitoring system on heart failure management and outcomes.
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Published:
16 February 2012 |
Keyword(s): Canada, Cellular Phone, Heart Failure, Patient Monitoring, Randomized Controlled Trials, Telemedicine, Telemonitoring
Seto E et al, J Med Internet Res, 14(1)
Background:
Previous trials of heart failure telemonitoring systems have produced inconsistent findings, largely due to diverse interventions and study designs.
Objectives:
The objectives of this study are (1) to provide in-depth insight into the effects of telemonitoring on self-care and clinical management, and (2) to determine the features that enable successful heart failure telemonitoring.
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Published:
10 February 2012 |
Keyword(s): Canada, Cellular Phone, Heart Failure, Self Care, Telemedicine, Telemonitoring
Bui AL, Fonarow GC. Journal of the American College of Cardiology, 59(2)
With a prevalence of 5.8 million in the United States alone, heart failure (HF) is a common syndrome associated with substantial morbidity, mortality, and healthcare expenditures. Close to 1 million HF hospitalizations occur annually in the United States, with the majority of these resulting from worsening congestion in patients previously diagnosed with HF. An estimated $37.2 billion is spent each year on HF in the United States. These statistics emphasize the need to develop and implement more effective strategies to assess, monitor, and treat HF. It has also become increasingly apparent that interventions geared toward identifying and monitoring subclinical congestion would be of value in the home management of chronic HF.
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Published:
10 January 2012 |
Keyword(s): Digital Homecare, Disease Management, Heart Failure, Telemedicine, Telemonitoring, United States
McBeth PB et al, The Journal of Trauma, 71(6)
BACKGROUND:
Apnea (APN) and pneumothorax (PTX) are common immediately life-threatening conditions. Ultrasound is a portable tool that captures anatomy and physiology as digital information allowing it to be readily transferred by electronic means. Both APN and PTX are simply ruled out by visualizing respiratory motion at the visceral-parietal pleural interface known as lung sliding (LS), corroborated by either the M-mode or color-power Doppler depiction of LS. We thus assessed how economically and practically this information could be obtained remotely over a cellular network.
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Published:
December 2011 |
Keyword(s): mHealth, Pulmonary Medicine, Skype, Smart Phone, Telemedicine, Telemonitoring, Ultrasound
Anker SD et al, The Lancet, 378(9806)
We agree with Alexander Clark and David Thompson about the complexity of telemedicine and remote patient management interventions and that in many cases “interventions with the same label are not the same interventions”. Hence we proposed the concept of “four generations of telemedicine” in our Review. We maintain that the effectiveness of telemedicine and remote patient management in heart failure is not established.
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Published:
26 November 2011 |
Keyword(s): Heart Failure, Telemedicine, Telemonitoring
Inglis SC et al, The Lancet, 378(9806)
We commend Stefan Anker and colleagues on their excellent Review of telemonitoring in chronic heart failure (CHF) and on their proposed classification of telemedical remote management systems according to the type of data transfer, decision ability, and level of integration.
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Published:
26 November 2011 |
Keyword(s): Heart Failure, Telemedicine, Telemonitoring
Clark AM, Thompson DR. The Lancet. 378(9806)
“Everything works” or “nothing works”: clinicians often grapple with these dichotomous and non-qualified conclusions in systematic reviews. Seldom does this occur in the same paper.
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Published:
26 November 2011 |
Keyword(s): Heart Failure, Telemedicine, Telemonitoring
Deschildre A et al, The European Respiratory Journal, 2011
Some children with severe asthma develop frequent exacerbations despite intensive treatment. we sought to assess the outcome (severe exacerbations and health-care use, lung function, quality of life, maintenance treatment) of a strategy based on daily home spirometry with teletransmission to an expert medical centre and wether it differs from that of a conventional strategy. 50 children with severe uncontrolled asthma were enrolled in a 12-month prospective study and randomized into two groups: treatment managed with daily home spirometry and medical feedback (HM) and conventional treatment (CT).
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Published:
18 August 2011 |
Keyword(s): Asthma, France, Telemedicine, Telemonitoring
Cleland JGF, Barrett D. European Cardiology, 6(3)
Over recent years, telehealth has increasingly demonstrated its value in supporting the delivery of cardiovascular healthcare. From teletriage services as a portal into healthcare through to telemonitoring of heart failure patients, technology is already increasing the ability of practitioners to provide care remotely, empower patients and improve clinical outcomes. In the future, telehealth services have the potential to have an even greater impact on the provision of cardiovascular care.
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Published:
September 2010 |
Keyword(s): Cardiovascular, Telehealth, Telemedicine, Telemonitoring, Telestroke
Bosworth HB et al, Archives of Internal Medicine, 171(13)
BACKGROUND
To determine which of 3 interventions was most effective in improving blood pressure (BP) control, we performed a 4-arm randomized trial with 18-month follow-up at the primary care clinics at a Veterans Affairs Medical Center.
METHODS
Eligible patients were randomized to either usual care or 1 of 3 telephone-based intervention groups: (1) nurse-administered behavioral management, (2) nurse- and physician-administered medication management, or (3) a combination of both. Of the 1551 eligible patients, 593 individuals were randomized; 48% were African American. The intervention telephone calls were triggered based on home BP values transmitted via telemonitoring devices. Behavioral management involved promotion of health behaviors. Medication management involved adjustment of medications by a study physician and nurse based on hypertension treatment guidelines.
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Published:
11 July 2011 |
Keyword(s): Behavior, Blood Pressure, Hypertension, Telemedicine, Telemonitoring, Telephone, United States
Boyne JJJ et al, International Journal of Nursing Studies, 48(1)
BACKGROUND
As the prevalence of heart failure (HF) rises sharply, the costs related to the care of these patients increases in parallel. Considering the already limited resources and manpower, in the future the demand for care may exceed the supply. Therefore, health care systems are encouraged to develop innovative strategies to deal with the burden of HF to improve the quality of care in order to medical outcomes and patients’ quality of life. For that reason new management systems – such as telemonitoring – have to be explored.
OBJECTIVES
This paper outlines the study protocol of a tailor-made telemonitoring program in ambulant patients with HF.
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Published:
7 July 2010 |
Keyword(s): Chronic Disease, Disease Management, Heart Failure, Netherlands, Telemedicine, Telemonitoring
Seto E et al, J Med Internet Res, 12(4)
BACKGROUND
Mobile phone-based remote patient monitoring systems have been proposed for heart failure management because they are relatively inexpensive and enable patients to be monitored anywhere. However, little is known about whether patients and their health care providers are willing and able to use this technology.
OBJECTIVE
The objective of our study was to assess the attitudes of heart failure patients and their health care providers from a heart function clinic in a large urban teaching hospital toward the use of mobile phone-based remote monitoring.
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Published:
29 November 2010 |
Keyword(s): Attitude, Canada, Cellular Phone, Heart Failure, mHealth, Telemonitoring
Radhakrishnan K, Jacelon C. The Journal of Cardiovascular Nursing, 2011
PURPOSE
The objective of the study was to explore the impact of telehealth interventions on individuals’ self-care of heart failure (HF).
BACKGROUND
Heart failure is a chronic illness that requires a complex treatment regimen over a long period. Historically, effective self-care has been difficult for this population. There is a need for innovative and effective approaches to improve individual self-care. Telehealth can potentially help individuals with HF follow the plan of care resulting in improved health outcomes and a better quality of life.
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Published:
9 May 2011 |
Keyword(s): Digital Homecare, Heart Failure, Literature Review, Self Care, Self Management, Telehealth, Telemedicine, Telemonitoring
While A, Dewsbury G. International Journal of Nursing Studies, 2011
This paper traces the development of information and communication (ICT) within health care and the emergence of telehealth as a key component of modern health care delivery as health care moves from the ‘face to face age’ to the ‘information age’. The paper examines the interface of ICT and nursing practice and highlights the limited evidence relating to the nursing contribution within telehealth particularly beyond data input and output analysis for other health care personnel.
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Published:
6 April 2011 |
Keyword(s): ICT, Nursing, Portal, Telecare, Telehealth, Telemedicine, Telemonitoring
Koehler F et al, Circulation, 2011
Background
This study was designed to determine whether physician-led remote telemedical management (RTM) compared with usual care would result in reduced mortality in ambulatory patients with chronic heart failure (HF).
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Published:
28 March 2011 |
Keyword(s): Chronic Heart Failure, Telemedicine, Telemonitoring
Bas M et al, Telemedicine and e-Health, 16(9)
Despite some clinical, economic, and other qualitative advantages associated with remote cardiac device monitoring systems, one of the main challenges concerns the management of the out-of-hospital data. Manual updating of hospital databases with the data stored in the manufacturers’ servers increases time requirements and may introduce mistakes in the entries. The use of communication standards such as Health Level 7 for data interchange could provide a safe and easy way to access patient and device information. The present study of 38 patients was carried out with the Carelink® remote monitoring technology. A formal process for remote cardiac device monitoring was established, including some features in the Arrhythmias Information System: mobile phone and e-mail were included for communication between patients and hospital, with a new gateway for automatic message sending.
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Published:
29 October 2010 |
Keyword(s): Cardiology, Communication, Information Systems, SMS, Spain, Telemedicine, Telemonitoring
